Individual provider · NPI-1

Bethany Bearden, OTR/L

Occupational Therapist · Buford, GA

NPI number1831425149
StatusActive
Last updated in NPPESApr 25, 2012

Details

NPI
1831425149
Entity type
Individual (NPI-1)
Name
Bethany Bearden
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2009
Last updated
Apr 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT004965GAYes

Practice location

470 S Hill St
Buford, GA 30518-3220

Phone 678-482-6100

Mailing address

5230 Cherokee Trl
Gainesville, GA 30506-6469

Phone 678-936-8695

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